m NUTRIC与NRS-2002评分对重症病人预后的评估价值比较OA北大核心CSTPCD

Objective:To evaluate the nutritional risk of patients in emergency intensive care unit(EICU)using mNUTRIC score and NRS-2002,and to compare the value of the two tools in assessing 28-day mortality Methods:Patients admitted to the EICU from February to May 2023 were selected.Data were collected from electronic medical records,and nutritional assessment was performed using NRS-2002 and mNUTRIC score within 24 hours of admission.Cox regression analysis was used to explore the effect of nutritional risk on 28-day mortality.ROC curve was drawn to evaluate the predictive value of NRS-2002,mNUTRIC,APACHE Ⅱ and SOFA for 28-day mortality.Results:A total of 152 patients were enrolled in this study.According to mNUTRIC score,102 patients(67.1%)were at high nutritional risk(>5 points).NRS-2002 score screened 67 patients(44.1%)with high nutritional risk(≥5 points).The results showed that the results of the two scoring systems were inconsistent.Cox regression analysis showed that mNUTRIC(OR=1.782)and SOFA(OR=1.186)were risk factors for the death of critically ill patients in EICU.The AUC of mNUTRIC score for predicting 28-day mortality was 0.82[95%CI(0.73,0.90)],and the best critical value was 6.The predictive value of mNUTRIC score was better than NRS-2002,APACHE Ⅱ and SOFA.Conclusions:mNUTRIC score can be used as an effective tool for nutritional risk assessment in critically ill EICU patients and is associated with 28-day mortality.However,the characteristics of patients in the acute stage and recovery stage should be considered to dynamically assess nutritional risk.